| NPI | 1912369166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIANI MARTINEZ Sole Propietor 917-445-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00276200) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-03-27 |